Heads Up! Before You Pop a Cool One – Alcohol and Risk of Melanoma

Well, here’s a surprise!

Be careful of what you pull from that icy cooler to quench your summer thirst! New research indicates that drinking alcohol can actually make your skin burn in the sun more quickly and more severely! And it’s not just because imbibing may distract you from reapplying sunscreen as often as needed! The alcohol changes your skin on the cellular level, lowering levels of carotenoids and deregulating your immune system.  Dermatologist Dr. Niyati Sharma explains the German study. “One standard drink increases your risk of melanoma by about 20%. If you drink five beers the risk goes up by 55%”.

All this is even more reason to be smart in the sun! Pay attention to the basics! Reapply sunscreen – a shot glass size of liquid sunscreen every two hours, wear UPF50 clothing to offer added protection and get an annual skin screening! Plus – keep an eye out for any unusual changes. 

Here’s a look at the entire article! https://bit.ly/3Pb3Mo4

Above all else – be smart and safe when it comes to both the sun and alcohol! Have a terrific summer!

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Here’s Your Summer Mantra: Sun Care Is Self Care

As we shake off the remnants of the Covid Pandemic, we’re ready to get back to normal – whatever “normal” may be. It’s time to dive into the good stuff! Finally! Make up for lost time! Hang with friends!  Have some fun! Getting a skin screening may not be on the top of that to-do-list. But stay with me for just a minute and I’m going to tell you why it should be; why giving up 10 minutes on a sunny Saturday can make all the difference in your happy, healthy future. It’s all about self care. Because sun care IS self care. 

A new study just released found globally, melanoma diagnosis is expected to surge by 50% in the next 18 years – with a 68% increase in deaths.  Patients who have cancer treatment delayed by even one month can have a six to 13 percent higher risk of dying. 

Since melanoma in adolescents and young adults is especially aggressive, that means early detection through screening is more important than ever. It is essential. Remove the mole – remove the risk of melanoma. The key is melanoma prevention; and it’s as easy as three basic steps:

  • Wear sunscreen SPF30
  • Wear UPF 50 clothing
  • Get an annual Skin Screening with a Dermatologist.

Can’t get into a dermatologist? We’ve got you! At Claire Marie Foundation we are passionate about your skin and thrilled to bring you another day of Free Skin Screenings on May 7th for anyone 13-29 years old! 

Think it none of this applies to you? Ask the young people who were screened at our April 2nd CMF Free Skin Screenings. Nearly 15% were found to need biopsy for suspicion of melanoma. At one location alone, that number surged to 33%.   By taking time to find atypical moles early, they removed the risk of melanoma and can look forward to a healthy safe summer!

There are still plenty of appointments available at our CMF Screening Events May 7th at Johns Hopkins Dermatology at Greenspring Station, Mercy Medical Center Baltimore and SCSPhysicians in Lutherville.  Just pick a location, call and set up the appointment! It’s that easy! Free to anyone 13-29 years old!  All the info is right here:  May 2022 SCREENING DAY

Still need a little nudge? Okay, look at it this way; consider it beach prep! Remember – #awarenesssaveslives We look forward to seeing you there!

 

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Jacqueline’s Story: When It Comes to Melanoma – Expect the Unexpected

 

Is there a better time of life than 22?  All the possibilities of life are before us, ready to be explored.  In 2003, Jacqueline Smith was just 22, fresh out of college and ready to take on the world when she received devastating news; she had Stage III melanoma.  What? How could that be? She was young! She didn’t tan!  She is a woman of color.  How could she have melanoma?

Now, all these years later, Jacqueline shares her story in the hope it raises awareness that everyone is at risk for melanoma no matter their age, gender or race.  As a survivor with a career in patient advocacy and research,  Jacqueline offers this glimpse of what life is like for a young melanoma patient. 

“Sickness has always surrounded me and on November 29, 2006, I learned it had finally engulfed me.  At age 28, during the first semester of my doctoral program in sociology at Syracuse University, I learned I had recurrence of stage III melanoma.  I was devastated. The disease I thought I had beat at age 23 was rearing its ugly head again. Furthermore, the lump I had detected in my bikini line almost a year and a half earlier was not the inflamed lymph node that my gynecologist assured me it was and it was not the result of some minor infection that my primary care provider’s assistant diagnosed.  It was a lymph node filled with cancer. My gynecologist advised, “it is nothing but an inflamed lymph node. If it doesn’t bother you, don’t bother it”.  But it did bother me.  It was not painful but it was unsightly. It was firm and slow growing. Therefore, I wanted this lump removed.  The surgeon performed a needle biopsy. The result? Melanoma.

Again, I was struck with the same question: “how could this be?” I was not a fair skinned, middle-aged Caucasian woman. I was the complete opposite.  I was never a sun-worshipper and have never even entered a tanning salon. I spent all those years performing breast self-exams, watching my salt intake and praying to be saved from diabetes but never did I think I would become a skin cancer patient.  

I sought opinions from several doctors and specialists.  On December 21, 2006, I was told it would be a miracle if I survived another five years.  Needless to say, I spent that holiday season drowning in self-pity and worry mixed with anger and resentment. Though none of us know when we will reach the end, most live everyday with the promise and hope for a new day. However, receiving a cancer diagnosis quickly forces one to face their mortality.

On March 29, 2007, I had a total right groin lymphadenectomy.  I enrolled in the pegylated interferon clinical trial (a form of immunotherapy in which I had to self-administer weekly injections) and subsequently completed 3 months of radiation treatment.  Today, I am thankful to say I am cancer free.

Prior to my diagnosis, I never thought melanoma was a “serious” cancer.  When most people hear of my diagnosis, they assume I simply had a cancerous mole removed.  Few are aware of effects advanced staged melanoma.  I had 16 lymph nodes removed.  I have an eight-inch surgical scar on my right groin and I have a larger radiation scar, which creates a frame around the surgical scar. I have dots permanently tattooed on my right groin marking the radiation site.  I have two permanent scars on my abdomen marking the sight in which I had to administer my interferon injections.  As a result of both surgery and radiation, I suffer from lymphedema in right leg. To keep the lymphedema from progressing, I must wear a compression stocking on my right leg during the day and sleep in a bulky compression brace nightly.  These are things I will have to do for the rest of my life.  I also suffer from cognitive changes resulting from interferon therapy. Advanced melanoma is anything but minor. Fortunately, you can mitigate your risk of developing melanoma. Please, monitor your sub-exposure, diligently wear sunscreen and make sure to see your physician for an annual skin cancer exam.

Jacqueline currently serves in Patient Advocacy and State Government Affairs at Vertex Pharmaceuticals. She is a Doctoral Candidate with over a decade of experience in research, advocacy and cancer survivorship. She sits on a number of Boards including the Claire Marie Foundation and the Melanoma Research Foundation.

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Why is Melanoma Striking So Many Young Men?

Melanoma? It’s a girl thing. Old guys get it.  It only affects fair-skinned people. Right?  Wrong. Dead wrong.

You’ve heard us say it before; If you have skin – you are at risk for melanoma – especially adolescents and young adults who have unique hormonal and lifestyle factors which come into play. The hard truth is this; if not found early – melanoma can kill you.

This Melanoma May, we turn the spotlight on the guys! New research is focused on the surge in the number of young men  between the ages of 15 and 39 who are dying from melanoma. Between 1995 and 2014, diagnosis of melanoma in the head and neck areas increased 51%. Even more unsettling – 60% of those who died – were young men.  Men’s Health Magazine offers a deep dive into the subject! https://bit.ly/3aS21tz

So why are are adolescent boys and young men more at risk?

As in young people of all genders and races, hormones play a roll. In men, it’s believed surging levels of testosterone can kick-start melanoma making it more invasive and aggressive. Researchers at Oxford University found a  new link between higher levels of testosterone in the blood and increased risk of melanoma in men. Other factors are genetics, immune system and an active sun – soaked lifestyle! 13-39 year olds spend a ton of time in the sun, often without a thought to the need for sunscreen or UPF 50 protective clothing. Add to that the bad habit of visiting tanning booths ( did you know one time can increase your risk 75%? ). It all adds up!

Overall, diagnosis is up 253% in all young people in the last 40 years, making melanoma the second most common cancer in adolescents, and the most common cancer in young adults.

What can you do to protect yourself?  Plenty and it is SO simple!

  • Wear sunscreen every day! At least SPF30 and apply every two hours when out in the sun.  Don’t forget your ears and the back of your the neck. Be especially attentive to reapplying when swimming, sweating or going shirtless.
  • Invest in UPF50 clothing and hats for long days in the sun! It blocks 98% of the sun’s damaging rays from your skin. Regular clothing only blocks 6% of the UV rays.
  • Wear sunglasses to protect your eyes from Occular Melanoma.
  • Check your body monthly for any skin or mole changes. Keep in mind, melanoma in young people can be colorless, pink or even look like a wart. Listen to that inner voice and make an appointment with a dermatologist should anything look unusual.
  • Get a full-body dermoscopy skin screening by a dermatologist every year.  Your general practitioner may be great, but understand that only a dermatologist is properly trained to catch any potential mole changes at the very earliest point.

There are a number of other factors that can come into play when it comes to melanoma in the adolescent and young adult population. You can learn more here  https://bit.ly/2QK00se  or by checking out the research section on our website www.clairemariefoundation.org

Take care of your skin. Take care of you, and be aware! Because awareness saves lives. 

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The Difference Between Melanoma and Skin Cancer – Awareness That Could Save Your Life

Let’s make one thing clear; the words “just” and “ cancer” should never be linked in the same sentence.  But due to the fact that basal cell or squamous cell carcinomas are 98 percent treatable and unlikely to spread through the body, many people think melanoma is “just” skin cancer and thus tend to delay having a dermatologist check changes in their skin or moles.  That misnomer can be deadly. Melanoma is not like other skin cancers. It is a beast within itself; extremely aggressive, moving beyond the skin, often spreading to other parts of the body. Consider this: melanoma is the cause of most skin cancer deaths, claiming one life every 50 minutes.

The risk is especially high in adolescents and young adults where melanoma is more aggressive and invasive than in older patients. https://bit.ly/37HGxyH.

The Dana-Farber Cancer Institute found if a young person develops any form of skin cancer – it is almost always melanoma.In fact diagnosis of melanoma in adolescents and young adults has jumped 253% in the last 40 years.  Melanoma doesn’t wait for COVID. It doesn’t wait until for a convenient time in your schedule.  Early detection is the key. Listen to that wise voice in your head. If you notice any changes in your skin, make an appointment with a qualified dermatologist immediately. Learn more about the differences between skin cancer and melanoma from Dermatologist and Claire Marie Medical Advisor, Dr. Diane Orlinsky, M.D., F.A.A.D. https://vimeo.com/470036400

Take care of your skin. Take care of you. Be aware; because awareness saves lives.

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Jamie’s Story: Pregnancy, Hormones and Melanoma

Pregnancy is such a joyful and stressful time! An expectant mother has so many things to consider in preparing for the arrival of her new little one – melanoma is typically is not among them. But amid the visits to the obstetrician, don’t forget to set time aside to see your dermatologist.  Hormonal changes, genetics and a suppressed immune system can create the perfect storm in the development of melanoma in pregnant women.https://cle.clinic/2X0R0hP

Jamie Martell, a young mom in Maryland was blindsided by her diagnosis.  She generously shares her story in the hopes that it will raise awareness of the unforeseen risk to young moms. 

“I was 27 years old – newly married to the man of my dreams and pregnant with our first child. A boy! All of those beautiful wonders of life I had imagined were unfolding right before my eyes.

I had heard of melanoma before, but I can assure you that I never took it seriously or thought it was something that could happen to me. To me, it was just something that happened to older people that got a a little too much sun throughout their life. 

   I was around 5 months pregnant when I noticed a mole on my thigh start to drastically change. It went from something I hardly noticed to something I could no longer ignore. My husband encouraged me for weeks to get it checked out and thankfully I finally listened. It was stage IIb Melanoma – which meant it was aggressive and growing rapidly. I was quickly scheduled for a surgery to remove the cancer and some surrounding skin. We then received the news that the surrounding skin was free of Melanoma cells and so at that point we thought I was in the clear. 

A month after delivering my son we found out how very wrong I was. Not only did we discover that Melanoma isn’t always just something you can “cut out”, but it also was thriving off of the hormones from my pregnancy

The cancer had very quickly spread to multiple lymph nodes within my body and my oncologist revealed that another surgery wouldn’t cut it. I would need to start a systemic treatment called immunotherapy.

A couple of years later, after a lot of trial and error, we were thrilled that we had finally found success in a treatment! However, a second pregnancy brought the Melanoma roaring right back into my world. I was forced to deliver our daughter (Maisie) 6 weeks early in order to start yet another treatment. 

I am so passionate that everybody should see a dermatologist annually, but especially passionate that women should see a dermatologist during their pregnancy. The hormonal changes in your body during this time can result in changes to your skin.

Something so easy and simple to do could save losing precious moments with your children, it could save the pain your family endures as they wish they could take it all on for you, it could save you from surgery after surgery and treatment after treatment…it could ultimately save your life!”

 

Jamie Martell: Wife, Mother, Melanoma Survivor

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The Damaging Affect of Blue Light on Your Skin

Do you think because you’re stuck self-isolating indoors, awaiting the start of your latest Zoom conference during COVID 19 you can skip the sunscreen?  Well, think again! 

Your skin is still exposed to all forms of visible light which includes not only the damaging UV rays of the sun streaming through your windows but especially to the blue light spectrum which emits energy (irradiance) thought to be cumulative and damaging –  ranging from halogen light bulbs, computer screens, televisions, smart phones, to lamps used in nail salons.

Dermatologist Dr. Eva Simmons O’Brien, M.D., F.A.A.D., Co-Founder of the Claire Marie Foundation Medical Advisory, recommends you wear sunscreen daily indoors as well as outdoors to ensure protection of your skin against the entire spectrum of light. “Visible light can induce pigment changes and may have an adverse cumulative effect on the overall health of your skin.” Dr. Simmons O’Brien says.  This can be of extreme importance for people of color and those who are at risk for  melasma; a condition in which the pigmentation of the skin darkens or becomes discolored. melasma is thought to be caused by UV damage, genetic predisposition, and hormone changes. Although it can affect anyone, melasma is more common in women – especially pregnant women and those who are taking contraceptives or hormone replacement therapy. 

Dr. Simmons O’Brien also advises to always make certain your sunscreens contain physical blockers such as titanium dioxide and/or zinc oxide in their formulations. The micronized zinc preparations won’t leave you looking pasty or chalky!  Just add it into your daily routine so you can be skin safe while you #StaySafe

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Congratulations to Our 2020 Claire Marie Arts & Design Scholar

Congratulations to Allison, “Allie”  McDavid, the 2020 Recipient of the Claire Marie Scholarship in Arts & Design!

 The Notre Dame Preparatory Senior got the news via NDP art teacher Anne Walker while isolated at her home, but the lack of fanfare did not diminish her excitement! Allie begins her studies this fall at Miami University in Oxford, Ohio where she will immerse herself in Interior and Architectural Designs.

Every year since 2015, the $5,000 award is given to a graduating senior from Claire’s alma mater, Notre Dame Preparatory School in Towson Maryland to support the recipient’s desire to study design arts in college. It was a dream of Claire’s to launch a career in interior design and we are thrilled to see other young women share the same passion and excitement. Each year, our winners are selected by an exquisite team of noted design professionals from across the country! They bring expertise in fine arts, theatrical, animation, interiors, photography and film. Our thanks to our CMF Scholarship Committee: Katie Fico with Walt Disney Animation Studio, Los Angeles based Interior Designer Stacey Vuduris, Theatrical Designer Timothy Swiss of Los Angeles, Photographer Susannah Dowell of Colorado and Maryland’s First Lady and MICA Educator Advocate, Mrs. Yumi Hogan. 

Allie said her phone lit up with excited messages from her classmates when the announcement was made! “What an honor it is to be able to represent such beautiful young women and the inspiring Claire Marie Foundation.” 

Allie joins past recipients who have studied in Claire’s memory at University of Southern California, Rollins College, University of Virginia and Savannah College of Arts & Design. 

Allie, good luck on your academic and professional adventure! We can’t wait to see the joy, color and beauty you bring to the world!

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Oh No! Found a Suspicious Mole or Skin Lesion Amid COVID-19 Shut-Down? Here’s What To Do!

In this era of COVID19 it can be challenging to manage the common practice of healthcare. Thus, many routine medical concerns, including dermatology screenings for skin cancer and melanoma, are on hold for most people.

In an attempt to manage their own health as best they can, some patients may turn to smartphone apps to assess a suspicious skin lesion. That is not a good idea!  A recent study published in the Journal of the American Medical Association ( JAMA) found these leading apps offer false results. SkinVision and SkinScan, the two most popular apps, were both missing melanomas and offering false positive readings. Furthermore, 45% of the time, the images couldn’t even be interpreted by the apps.  It should be noted that the FDA has not yet approved these apps for the diagnosis of melanoma.

What should you do if you can’t get an appointment with your dermatologist and you have a suspicious skin lesion?  We reached out to Claire Marie Foundation Medical Advisor, Dr. Meg R. Gerstenblith, M.D., a Clinical Assistant Professor in the Department of Dermatology at Case Western Reserve University and a Clinical Associate in the Department of Dermatology at Johns Hopkins School of Medicine. Here is what Dr. Gerstenblith had to say:

“The past few months, our lives have changed dramatically.  Each one of us has been impacted by COVID19, even if we haven’t personally been sick.  Routine medical visits, including skin exams by dermatologists, have been pushed back.  We won’t fully appreciate the effects of these delays, although in the context of cancer screening and cancer care, some hypothesize that the impact will be felt for years to come.https://www.thelancet.com/journals/lanonc/article/PIIS1470-2045(20)30243-6/fulltext

However, many dermatologists’ offices are open for telemedicine visits and urgent concerns, including the diagnosis and treatment of aggressive skin cancers. 

In a typical telemedicine visit, a patient will upload photos of a suspicious lesion (or lesions) and, during the video visit, the dermatologist will review the photos and obtain critical history information from the patient with regard to how long the patient has noticed the lesion, whether or not it is symptomatic, and whether or not it has changed in any respect. 

With this information, dermatologists can usually come up with a sound plan for that patient.  If the dermatologist is concerned, most are be able to see the patient in the office for the appropriate biopsy or excision of a suspicious lesion.  Our surgeons are performing skin cancer surgery as well.  We are doing our best to avoid delays in diagnosing and treating potentially aggressive skin cancers.  For some skin cancers that are not very aggressive, such as a superficial basal cell carcinoma, dermatologists may recommend waiting to treat those since they are highly unlikely to grow or spread.  

For the patient with the suspicious lesion, that patient should contact his/her dermatologist and set up a telemedicine visit.  The dermatologist can then advise the patient on whether or not he/she needs to be seen in person for an examination or a biopsy. 

If that patient’s dermatologist is not open or not conducting telemedicine visits, there are likely other offices that are open in that patient’s community–and the patient should seek out another dermatologist or speak to their primary care doctor to get assistance reaching a dermatologist. 

Most dermatology groups within academic hospitals are open during this COVID19 pandemic as are many private practices.  We would not recommend using any of the lesion detection apps, since studies have shown these to be ineffective.”

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Choosing For You and Baby: The Best Sunscreens For Pregnant Moms

The need to take care of your skin warrants special attention during pregnancy – especially when it comes to UV sun exposure. 

Pregnancy may bring an added risk for the development of melanoma. Hormonal changes, combined with genetics, have been found to be a link during pregnancy in some women. 

So along with getting a full body skin screening from your dermatologist, you also need to remember to wear sunscreen everyday.

What is the best choice for sunscreen to protect both you and your little one? We asked  Dr. Diane Orlinsky, MD, F.A.A.D.. Dr. Orlinsky is a board certified Dermatologist and Assistant Professor of Internal Medicine at the Johns Hopkins University School of Medicine. She also sits on the Claire Marie Foundation Medical Advisory.

Dr. Orlinsky says when it comes to using sunscreen during pregnancy, choose a product that offers a physical blocker instead of a chemical one. What’s the difference? Chemical blockers allow some of the sun’s rays to penetrate the skin. Physical blockers actually repel the UV rays off the skin. “Physical blockers are perfect for pregnancy because they consist of active mineral ingredients which are natural and of course that’s always the better choice! Look for an SPF of at least 30 with ingredients like zinc oxide and titanium dioxide.

There are elegant products such as Eryfotona Actinica Mineral Sunscreen by ISDIN or Colorescience Face Shield which offer great protection without leaving your skin looking chalky. Look for something which is fragrance free and really evaluate the label. Avoid products which have chemicals like oxybenzone, octinoxate or avobenzone.”

Of course it’s always important to remember to wear hats or clothing made of UPF 50 materials on those days you are at the beach or in the sun for long periods of time. Remember, taking care of you is as important as taking care of your baby!

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